Archived LCDs
To view archived Local Coverage Determinations (LCD) on the CMS Medicare Coverage Database (MCD), follow the instructions below.
- Go to CMS Archived Versions of Active LCDs by Contractor Index Criteria webpage to be directed to search option of MCD archive
- MCD will open in new window
- Select Contractor(s): "Retired - NHIC, Corp. (DME MAC, 16003, Jurisdiction A)"
- Archived policies are dated prior to July 1, 2016 transition of DME JA contract
- Archived policies are dated prior to July 1, 2016 transition of DME JA contract
- Click "Submit"
- An alphabetical list of all JA DME archived LCDs will open
- Click "LMRP/LCD ID" number to open desired LCD
- User must select "Accept" to view LCD. The link will take a user to last retired LCD version (noted by revision effective date)
- If looking for an older version, scroll to bottom of LCD and select version based on effective dates listed. Select desired version to open it.
- User must select "Accept" to view LCD. The link will take a user to last retired LCD version (noted by revision effective date)
Access the related PA from the "Associated Documents" section located at the bottom of the LCD. See "Related Local Coverage Documents – Article(s)" and select the Article(s) hyperlink to view the PA.
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| Title | LCD ID |
|---|---|
| Ankle-Foot/Knee-Ankle-Foot Orthosis | L11527 |
| Automatic External Defibrillators | L13613 |
| Canes and Crutches | L11496 |
| Cervical Traction Devices | L15844 |
| Cold Therapy | L5038 |
| Commodes | L11497 |
| Enteral Nutrition | L5041 |
| Epoetin | L11463 |
| External Breast Prostheses | L5043 |
| External Infusion Pumps | L5044 |
| Eye Prostheses | L11529 |
| Facial Prostheses | L5046 |
| Glucose Monitors | L11530 |
| Heating Pads and Heat Lamps | L28480 |
| High Frequency Chest Wall Oscillation Devices | L12870 |
| Home Dialysis Supplies and Equipment | L11498 |
| Hospital Beds And Accessories | L5049 |
| Immunosuppressive Drugs | L11531 |
| Infrared Heating Pad Systems | L12873 |
| Intrapulmonary Percussive Ventilation System | L5051 |
| Intravenous Immune Globulin | L27260 |
| Knee Orthoses | L27263 |
| Lower Limb Prostheses | L11464 |
| Manual Wheelchair Bases | L11465 |
| Mechanical In-exsufflation Devices | L12872 |
| Nebulizers | L11499 |
| Negative Pressure Wound Therapy Pumps | L11500 |
| Oral Anticancer Drugs | L5057 |
| Oral Antiemetic Drugs (Replacement for Intravenous Antiemetics) | L5058 |
| Oral Appliances for Obstructive Sleep Apnea | L28603 |
| Orthopedic Footwear | L11467 |
| Osteogenesis Stimulators | L11501 |
| Ostomy Supplies | L11502 |
| Oxygen and Oxygen Equipment | L11468 |
| Parenteral Nutrition | L5063 |
| Patient Lifts | L5064 |
| Pneumatic Compression Devices | L11503 |
| DRAFT - Pneumatic Compression Devices | L34820 |
| Positive Airway Pressure (PAP) Devices for the Treatment of Obstructive Sleep Apnea | L11528 |
| Power Mobility Devices | L21271 |
| Pressure Reducing Support Surfaces - Group 1 | L5067 |
| Pressure Reducing Support Surfaces - Group 2 | L5068 |
| Pressure Reducing Support Surfaces - Group 3 | L5069 |
| Refractive Lenses | L11532 |
| Respiratory Assist Devices | L11504 |
| Seat Lift Mechanisms | L11533 |
| Speech Generating Devices | L11534 |
| Spinal Orthoses: TLSO and LSO | L11470 |
| Suction Pumps | L11505 |
| Surgical Dressings | L11471 |
| Therapeutic Shoes for Persons with Diabetes | L11535 |
| Tracheostomy Care Supplies | L11536 |
| Transcutaneous Electrical Joint Stimulation Devices (TEJSD) | L28551 |
| Transcutaneous Electrical Nerve Stimulators (TENS) | L11506 |
| Tumor Treatment Field Therapy (TTFT) | L34730 |
| Urological Supplies | L5080 |
| Vacuum Erection Devices (VED) | L34732 |
| Walkers | L11472 |
| Wheelchair Options/Accessories | L11473 |
| Wheelchair Seating | L15845 |
Last Updated Sep 25, 2018